Individual
SHAKYA FOSTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5800 BEACH BLVD # 1051, JACKSONVILLE, FL 32207-5120
(904) 258-0368
Mailing address
5800 BEACH BLVD # 1051, JACKSONVILLE, FL 32207-5120
(904) 258-0368
Taxonomy
Speciality
Code
Description
License number
State
343900000X
Non-emergency Medical Transport (VAN)
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1245817915
NON MEDICAL TRANSPORTATION
FL
Enumeration date
04/27/2021
Last updated
04/30/2021
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